Individual provider Active NPI

Diana Sprinkle, NP-C

  • Adult Health Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1568835973
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3009877 Issued in KY
Practice address
615 7TH Ave
Bowling Green, KY 42101-6921
Phone
(270) 783-3573
Fax
(270) 783-4081
NPI assigned
Nov 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3009877 KY Primary

Addresses

Primary practice location

615 7TH Ave
Bowling Green, KY 42101-6921

Mailing address

615 7TH Ave
PO Box 1177
Bowling Green, KY 42101-6921
Phone (270) 783-3573

Other identifiers 1

IdentifierTypeStateIssuer
3009877OtherKYAPRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151215001411 KY Practitioner - Nurse Practitioner 0749581866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3009877KYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dixie Infusion Clinic, LLC CurrentSince Sep 28, 2022 Accepting new patients
Dixie Infusion Clinic, LLC CurrentSince Sep 28, 2022 Accepting new patients

Locations

1724 Rockingham Ave
Ste 101A
Bowling Green, KY 42104
Phone (270) 282-8010

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1568835973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 7TH AVE",
            "address_2": "PO BOX 1177",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421016921",
            "telephone_number": "270-783-3573",
            "fax_number": "270-783-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 7TH AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421016921",
            "telephone_number": "270-783-3573",
            "fax_number": "270-783-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINKLE",
        "first_name": "DIANA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3009877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "3009877",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.